DIANE STEWART (NPI# 1992742514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992742514 |
| Entity Type | Individual |
| Full Name | DIANE STEWART |
| Credential | RN/C, APN |
| Practice Address |
1303 W Evergreen Ave Effingham IL 62401-1619 |
| Mailing Address |
Po Box 1387 1303 W. Evergreen Ave. Effingham IL 62401-1387 |
| Practice Telephone | 2173423400 |
| Practice Fax Number | 2173426416 |
| Mailing Telephone | 2173423400 |
| Mailing Fax Number | 2173426416 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041156989 | IL | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 209000727 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209000727 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209000727 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
209000727 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | HEALTHLINK | 267692 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902297724 | Diane Stewart | Nurse Practitioner | 21 Peoria Ln, Sicklerville, NJ 08081-1816 | 2015-02-16 |
| 1265705628 | Diane Sadlak Stewart | Physical Therapist | 5698 S Bradley Rd, Santa Maria, CA 93455-5685 | 2012-02-15 |
| 1518235860 | Diane Stewart | Registered Nurse | 30-1 Fairlawn Dr, Central Islip, NY 11722-4693 | 2011-12-01 |
| 1609170893 | Diane M Stewart | Massage Therapist | 9815 Bent Branch Ln, Dallas, TX 75243-2017 | 2011-01-02 |
| 1376720003 | Diane Brock Stewart | Nurse Practitioner | 14 Foxfire Ln, Clinton, NJ 08809-2012 | 2008-01-24 |
| 1396710349 | Diane Stewart | Chiropractor | 4837 Swift Rd 202, Sarasota, FL 34231-5157 | 2006-02-22 |
| 1699249227 | Diane Stewart | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2019-01-16 |
| 1952580631 | Diane Elizabeth Stewart | Physical Therapy Assistant | 254 Main St, Cadiz, KY 42211-9153 | 2007-10-30 |
| 1366640716 | Diane Kay Stewart | Developmental Therapist | 6006 159th St Bldg B, Oak Forest, IL 60452-2904 | 2007-07-06 |
| 1750332557 | Diane Marie Stewart | Psychiatry & Neurology | 1615 Mahan Center Blvd, Tallahassee, FL 32308-5443 | 2006-05-15 |
| Street Address |
1303 W EVERGREEN AVE |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220243 | Thomas L. Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2005-10-21 |
| 1851891170 | Luke Ray Zumbahlen | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2018-02-13 |
| 1376051292 | Kayla R Deters | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2018-01-12 |
| 1932648318 | Jennifer Jean Hess | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2017-02-17 |
| 1689074296 | Diana Woltman | Registered Nurse | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2014-09-02 |
| 1942554647 | Andrea G Furlong | Physician Assistant | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-11-01 |
| 1134493042 | Andrew Vannatta | Orthotist | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-02-24 |
| 1003189333 | Kristyn Margaret Rosenkoetter | Physical Therapist | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2012-02-16 |
| 1609152735 | Brock Wayne Athey | Physical Therapist | 1303 W Evergreen Ave, Biomax Ste 102, Effingham, IL 62401 | 2011-11-03 |
| 1548558950 | Nickolas A Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.